Individual
JUANITA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 PREMIER DRIVE, SUITE #234, IRVING, TX 75063
(972) 756-1222
(469) 374-0800
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BCH, FL 33441-1817
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
RBT-15-8217-21224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-15-8217-21224
BACB
TX
Enumeration date
05/17/2015
Last updated
07/21/2022
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